Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

POST-OPERATIVE INFECTIONS FOLLOWING THE ORTHOGNATHIC SURGERY : CASE REPORTS

악교정 수술후 발생한 감염 4증례

  • Kim, Jong-Sup (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Yeoung Nam University) ;
  • Park, Chin-Ho (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Yeoung Nam University) ;
  • Park, Hee-Dae (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Yeoung Nam University) ;
  • Lee, Chang-Kon (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Yeoung Nam University) ;
  • Lee, Hee-Keung (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Yeoung Nam University) ;
  • Chin, Byung-Rho (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Yeoung Nam University)
  • 김종섭 (영남대학교 의과대학 부속병원 치과 구강악안면 외과) ;
  • 박진호 (영남대학교 의과대학 부속병원 치과 구강악안면 외과) ;
  • 박희대 (영남대학교 의과대학 부속병원 치과 구강악안면 외과) ;
  • 이창곤 (영남대학교 의과대학 부속병원 치과 구강악안면 외과) ;
  • 이희경 (영남대학교 의과대학 부속병원 치과 구강악안면 외과) ;
  • 진병로 (영남대학교 의과대학 부속병원 치과 구강악안면 외과)
  • Published : 1995.03.31
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Abstract

Postoperative infection following orthognatic surgery is rare. When postoperative infections occur, the initial treatment consists of incision and drainage of the affected area, culturing to identify bacterial stains and verify antibiotic sensitivity, and the institution of the appropriate antibiotic regimen. Some plates and screws may eventually require removal, the initial therapy should be attempted to retain the plates and screws until adequete healing has taken place. In orthoganthic surgery, intra-operative complications as a lesion of inferior alveolar nerve, fracture of osteomised segments, incomplete sectioning, malposition of segments, haemorrhage may occur. The surgeon should be familiar with possible complications to be caused and how to manage them. Prevention of postoperative infection following the orthognathic surgery consists of minimal periosteal reflection, aseptic management of operation field, proper surgical technique, rigid fixation, prophylactic antibiotics.

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